| NPI | 1255789632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015327) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.004735) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2019-09-06 |